延续性护理模式对喉癌患者术后癌因性疲乏及生活质量的影响
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摘要
目的探讨延续性护理模式对喉癌患者术后生活质量的影响,为寻求相应的护理对策,提高喉癌患者的生活质量提供依据。方法选取2014年6月—2015年6月蚌埠医学院第一附属医院耳鼻喉头颈外科收治的病理组织学确诊为喉癌的60例手术患者作为研究对象,实验组30例,其中声门型12例,声门上型17例,声门下型1例,男性29例,女性1例,平均年龄为(61.56±8.67)岁,术中部分喉切除18例,全喉切除12例;对照组30例,其中声门型11例,声门上型19例,男性30例,平均年龄为(62.73±8.14)岁,术中部分喉切除21例,全喉切除9例。采用标准对照和自身对照,对照组实行喉癌术后常规护理措施,实验组在常规护理措施的基础上实行延续护理模式,并采用Piper疲乏修订量表(R-PFS)和中国头颈部癌生命质量测定量表(QLICP-HN)对干预效果进行评定。结果实验组喉癌术后患者癌因性疲乏评分低于对照组,差异具有统计学意义(P<0.05);实验组喉癌患者生活质量评分均有不同程度提高,高于对照组,差异具有统计学意义(P<0.05)。结论应用延续性护理模式能改善喉癌患者疲乏症状,缓解患者心理压力,为肿瘤患者的康复和治疗提供了良好保障,进而提高了患者生活质量。
Objective To explore the effect of continuous nursing model on the quality of life of patients with laryngeal cancer after operation,and to provide the basis for the corresponding nursing measures to improve the quality of life of patients with laryngeal cancer. Methods We selected 60 patients with laryngeal carcinoma conformed by pathology for surgery who came from the otolaryngology head and neck surgery department of the First Affiliated Hospital of Bengbu Medical College from June,2014 to June,2015. The experimental group of 30 cases of laryngeal cancer patients with glottic type in 12 cases,17 cases of supraglottic,glottic type in 1 cases,29 cases were male,1 was female,the average age was( 61. 56 ± 8. 67) years,18 cases of partial resection of laryngeal surgery and total laryngectomy in 12 cases; 30 cases of laryngeal cancer patients in the control group glottic type in 11 cases,19 cases of supraglottic type,30 cases were male,mean age( 62. 73 ± 8. 14) years,21 cases of partial laryngectomy in vocal cord resection and total laryngectomy patients for 9 cases. We used the standard control and self control,nursing with laryngeal carcinoma,experimental group implemented extended care mode on the basis of conventional nursing,using the Piper fatigue scale( R-PFS) and Chinese quality of life instrument for cancer patients-head and neck cancer( QLICP-HN) to assess the effect of intervention. Results Related fatigue score in the experimental group of patients with laryngeal cancer was lower than that in the control group,with statistical significance( P < 0. 05); the quality of life of patients with laryngeal cancer score in experimental group were improved to varied extent,higher than that in the control group,and the difference was statistically significant( P < 0. 05).Conclusion Use of extended care model can improve the fatigue symptoms of patients with laryngeal cancer,relieve psychological pressure,for the rehabilitation and treatment of patients with tumor provides a good guarantee,and improve the patients' quality of life.
Objective To explore the effect of continuous nursing model on the quality of life of patients with laryngeal cancer after operation,and to provide the basis for the corresponding nursing measures to improve the quality of life of patients with laryngeal cancer. Methods We selected 60 patients with laryngeal carcinoma conformed by pathology for surgery who came from the otolaryngology head and neck surgery department of the First Affiliated Hospital of Bengbu Medical College from June,2014 to June,2015. The experimental group of 30 cases of laryngeal cancer patients with glottic type in 12 cases,17 cases of supraglottic,glottic type in 1 cases,29 cases were male,1 was female,the average age was( 61. 56 ± 8. 67) years,18 cases of partial resection of laryngeal surgery and total laryngectomy in 12 cases; 30 cases of laryngeal cancer patients in the control group glottic type in 11 cases,19 cases of supraglottic type,30 cases were male,mean age( 62. 73 ± 8. 14) years,21 cases of partial laryngectomy in vocal cord resection and total laryngectomy patients for 9 cases. We used the standard control and self control,nursing with laryngeal carcinoma,experimental group implemented extended care mode on the basis of conventional nursing,using the Piper fatigue scale( R-PFS) and Chinese quality of life instrument for cancer patients-head and neck cancer( QLICP-HN) to assess the effect of intervention. Results Related fatigue score in the experimental group of patients with laryngeal cancer was lower than that in the control group,with statistical significance( P < 0. 05); the quality of life of patients with laryngeal cancer score in experimental group were improved to varied extent,higher than that in the control group,and the difference was statistically significant( P < 0. 05).Conclusion Use of extended care model can improve the fatigue symptoms of patients with laryngeal cancer,relieve psychological pressure,for the rehabilitation and treatment of patients with tumor provides a good guarantee,and improve the patients' quality of life.
引文
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[11]张琼.自我效能与自我护理联合干预对喉癌患者术后营养状态和生活质量的影响[J].实用医院临床杂志,2016,13(1):87-90.
[12]陈建楠,徐国君,郭慧芳,等.护理干预对胶质瘤术后放疗患者生活质量、焦虑、抑郁和癌因性疲乏的影响[J].中国医科大学学报,2016,45(12):1139-1142.
[13]Saito K,Inagaki K,Kamimoto T,et al.MicroRNA-196a is a putative diagnostic biomarker and therapeutic target for laryngeal cancer[J].PLo S One,2013,8(8):e71480.
[14]宋彦.中医延续护理对喉癌患者术后生存质量及心理状态的影响[J].辽宁中医药大学学报,2014,16(8):221-223.
[15]孙雪春.延续护理对颅内颈动脉瘤患者术后生存质量的影响[J].当代护士(下旬刊),2014(7):3-5.
[2]Aliasghar AK,Johan J,Georgios G,et al.Alcohol Drinking Cessation and the Risk of Laryngeal and Pharyngeal Cancers:A Systematic Review and Meta-Analysis[J].PLo S One,2013,8(3):e58158.
[3]中华人民共和国国家卫生和计划生育委员会.中国护理事业发展规划纲要(2011-2015年)[J].中华护理杂志,2012,47(3):286-287.
[4]罗家洪,万崇华,孟琼,等.中国头颈部癌生命质量测定量表QLICP-HN的研制与考评[J].现代预防医学,2007,34(21):4023-4025.
[5]周英,杨从艳,赵梅君,等.自我效能感在喉癌术后患者自我护理和生活质量间的中介作用分析[J].蚌埠医学院学报,2014,39(12):1707-1711.
[6]吴晓琴,夏海鸥,孔振芳,等.结直肠癌患者癌因性疲乏的多维度纵向研究[J].护理学杂志,2015,30(4):21-25.
[7]丁金霞,王婷,王维利,等.化疗期癌症患者癌因性疲乏与生命质量的研究[J].中华疾病控制杂志,2015,19(5):462-465.
[8]李云,金莉,马士崟.联合护理干预对喉癌患者术后生活质量的影响[J].蚌埠医学院学报,2014,39(7):973-976.
[9]宋媛媛,许鹏杨,晨光,等.养正消积胶囊对癌因性疲乏患者的影响[J].天津中医药大学学报,2016,35(4):238-241.
[10]丁金霞,王婷,王维利,等.化疗期癌症患者癌因性疲乏与生命质量的研究[J].中华疾病控制杂志,2015,19(5):462-465.
[11]张琼.自我效能与自我护理联合干预对喉癌患者术后营养状态和生活质量的影响[J].实用医院临床杂志,2016,13(1):87-90.
[12]陈建楠,徐国君,郭慧芳,等.护理干预对胶质瘤术后放疗患者生活质量、焦虑、抑郁和癌因性疲乏的影响[J].中国医科大学学报,2016,45(12):1139-1142.
[13]Saito K,Inagaki K,Kamimoto T,et al.MicroRNA-196a is a putative diagnostic biomarker and therapeutic target for laryngeal cancer[J].PLo S One,2013,8(8):e71480.
[14]宋彦.中医延续护理对喉癌患者术后生存质量及心理状态的影响[J].辽宁中医药大学学报,2014,16(8):221-223.
[15]孙雪春.延续护理对颅内颈动脉瘤患者术后生存质量的影响[J].当代护士(下旬刊),2014(7):3-5.